Steiner M S, Morton R A, Walsh P C
James Buchanan Brady Urological Institute, Johns Hopkins Medical Institutions, Baltimore, Maryland.
J Urol. 1991 Mar;145(3):512-4; discussion 514-5. doi: 10.1016/s0022-5347(17)38382-9.
Urinary continence following an anatomical approach to radical prostatectomy was evaluated in 593 consecutive patients, 547 (92%) of whom achieved complete urinary control. Stress incontinence was present in 46 patients (8%), of whom 34 (6%) wore 1 or fewer pads per day and 2 (0.3%) required placement of an artificial sphincter. No patient was totally incontinent. Age, weight of the prostate, prior transurethral resection of the prostate, pathological stage and preservation or wide excision of the neurovascular bundles had no significant influence on preservation of urinary control. These data suggest that anatomical factors rather than preservation of autonomic innervation may be responsible for the improved urinary control associated with an anatomical approach to radical prostatectomy.
对593例连续接受根治性前列腺切除术的患者进行了解剖学入路根治性前列腺切除术后尿失禁情况的评估，其中547例（92%）实现了完全控尿。46例患者（8%）存在压力性尿失禁，其中34例（6%）每天使用1片或更少的尿垫，2例（0.3%）需要植入人工括约肌。无患者完全失禁。年龄、前列腺重量、既往经尿道前列腺切除术、病理分期以及神经血管束的保留或广泛切除对控尿的保留无显著影响。这些数据表明，与解剖学入路根治性前列腺切除术相关的控尿改善可能是由解剖学因素而非自主神经支配的保留所致。
